▸ Compare · PriceTransparency
Office visit, new patient, 60-74 min
CPT 99205 · negotiated-rate distribution across hospitals in TX
Hospitals
44
Min
$80.00
Median
$329.40
Max
$7,320.00
Range multiplier
91.5×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 38 | 175 | $47.00 | $331.09 | $8,427.00 | 179.3× |
| UnitedHealthcare | 33 | 94 | $26.31 | $243.00 | $1,064.97 | 40.5× |
| Aetna | 23 | 81 | $65.00 | $327.29 | $1,267.42 | 19.5× |
| Humana | 16 | 52 | $65.00 | $458.33 | $1,316.80 | 20.3× |
| Cigna | 18 | 36 | $71.67 | $270.13 | $1,937.00 | 27.0× |
| Multiplan | 17 | 27 | $249.05 | $539.25 | $1,152.20 | 4.6× |
| First Health | 12 | 25 | $98.25 | $467.35 | $906.40 | 9.2× |
| Medicaid | 11 | 23 | $1.00 | $190.74 | $704.00 | 704.0× |
| healthsmart | 7 | 23 | $80.00 | $827.09 | $977.22 | 12.2× |
| Anthem BCBS | 2 | 22 | $143.25 | $201.30 | $201.30 | 1.4× |
| commercial | galaxy | all plans | 9 | 18 | $611.15 | $656.10 | $1,481.40 | 2.4× |
| web tpa | 4 | 16 | $58.95 | $276.53 | $494.10 | 8.4× |
| assurant health | 4 | 16 | $86.46 | $405.57 | $724.68 | 8.4× |
| commercial | phcs | all plans | 5 | 14 | $249.05 | $517.73 | $1,111.05 | 4.5× |
| scott & white | 5 | 10 | $39.30 | $329.40 | $804.43 | 20.5× |
| city of san angelo | 4 | 8 | $18.21 | $85.42 | $152.62 | 8.4× |
| superior health plan | 3 | 6 | $180.00 | $260.02 | $413.00 | 2.3× |
| commercial | nppn | all plans | 5 | 5 | $575.20 | $575.20 | $575.20 | 1.0× |
| galaxy health network | 3 | 5 | $80.00 | $375.00 | $633.60 | 7.9× |
| Medicare | 1 | 5 | $130.81 | $137.35 | $170.71 | 1.3× |
| wellmed | 2 | 5 | $65.00 | $90.62 | $248.48 | 3.8× |
| commercial | usa health network | all plans | 5 | 5 | $611.15 | $611.15 | $611.15 | 1.0× |
| commercial | healthsmart | ppo | 4 | 4 | $503.30 | $503.30 | $503.30 | 1.0× |
| patoka valley tier 2 | 2 | 4 | $201.30 | $201.30 | $201.30 | 1.0× |
| mhs care connect | 2 | 4 | $143.25 | $143.25 | $143.25 | 1.0× |
| patoka valley tier 1 | 2 | 4 | $201.30 | $201.30 | $201.30 | 1.0× |
| txp optum health (transplant) | 1 | 4 | $600.49 | $702.46 | $849.75 | 1.4× |
| pphp | 1 | 3 | $168.65 | $180.76 | $229.22 | 1.4× |
| Medicare Advantage | 1 | 3 | $165.34 | $177.22 | $224.72 | 1.4× |
| phcs | 1 | 2 | $849.75 | $849.75 | $849.75 | 1.0× |
| prime health services | 1 | 2 | $709.00 | $984.00 | $1,259.00 | 1.8× |
| commercial | healthsmart | all plans | 2 | 2 | $503.30 | $503.30 | $503.30 | 1.0× |
| accountable health plans of america | 1 | 2 | $515.19 | $556.80 | $598.40 | 1.2× |
| commercial | firstcare | all plans | 2 | 2 | $175.80 | $175.80 | $175.80 | 1.0× |
| health partners open network | 2 | 2 | $279.38 | $279.38 | $279.38 | 1.0× |
| health industry trust and welfare plan | 1 | 2 | $545.49 | $589.55 | $633.60 | 1.2× |
| oscar | 1 | 2 | $218.00 | $302.50 | $387.00 | 1.8× |
| private healthcare systems | 1 | 2 | $484.88 | $524.04 | $563.20 | 1.2× |
| galaxy health | 1 | 2 | $1,099.01 | $1,099.01 | $1,099.01 | 1.0× |
| Molina | 2 | 2 | $231.33 | $313.94 | $396.55 | 1.7× |
| choicecare network ppo, pos, med adv | 1 | 2 | $484.88 | $524.04 | $563.20 | 1.2× |
| friday health insurance company | 1 | 2 | $1,417.00 | $1,967.50 | $2,518.00 | 1.8× |
| methodist | 1 | 2 | $645.24 | $645.24 | $645.24 | 1.0× |
| choice one inc ppo | 1 | 2 | $484.88 | $524.04 | $563.20 | 1.2× |
| imagine health | 1 | 2 | $793.10 | $793.10 | $793.10 | 1.0× |
| great west healthcare of texas | 1 | 2 | $533.37 | $576.45 | $619.52 | 1.2× |
| equifax healthcare | 1 | 2 | $963.05 | $963.05 | $963.05 | 1.0× |
| choice one inc epo/pos | 1 | 2 | $436.39 | $471.64 | $506.88 | 1.2× |
| medavant healthcare solutions | 1 | 2 | $484.88 | $524.04 | $563.20 | 1.2× |
| encore exclusive | 2 | 2 | $201.30 | $201.30 | $201.30 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Crescent Medical Center Lancaster | Lancaster | TX | 5 | $1,937.00 | $1,259.00 | $218.00 | $823.50 | $2,518.00 |
| Baylor County Hospital District | Seymour | TX | 9 | $557.00 | $389.90 | $65.00 | $80.00 | $263.08 |
| Childrens Medical Center Of Plano | Plano | TX | 31 | $1,133.00 | $849.75 | $190.74 | $793.10 | $1,099.01 |
| Baylor Orthopedic And Spine Hospital | Arlington | TX | 1 | — | — | $3,840.00 | $7,320.00 | $8,427.00 |
| St Lukes Health Memorial San August | San Augustine | TX | 7 | $1,646.00 | $576.10 | $47.00 | $617.75 | $1,481.40 |
| Driscoll Childrens Hospital | Corpus Christi | TX | 2 | $1,442.10 | $288.42 | $165.82 | $582.91 | $1,000.00 |
| Chi St Lukes Health Memorial Lufkin | Lufkin | TX | 7 | $1,646.00 | $576.10 | $47.00 | $552.28 | $1,481.40 |
| Chi St Lukes Health Mem Livingston | Livingston | TX | 6 | $1,646.00 | $576.10 | $47.00 | $549.08 | $1,481.40 |
| Dimmit Regional Hospital District | Carrizo Springs | TX | 3 | $840.00 | $504.00 | $217.00 | $547.00 | $806.00 |
| Rice Medical Center | Eagle Lake | TX | 19 | $704.00 | $492.80 | $1.00 | $506.88 | $704.00 |
| St. Lukes Patients Medical Center | Pasadena | TX | 6 | $719.00 | $251.65 | $241.38 | $431.40 | $611.15 |
| St. Lukes The Woodlands Hospital | The Woodlands | TX | 9 | $719.00 | $251.65 | $98.00 | $397.58 | $611.15 |
| St. Lukes Sugar Land Hospital | Sugar Land | TX | 9 | $719.00 | $251.65 | $98.00 | $397.58 | $611.15 |
| St. Lukes Lakeside Hospital | The Woodlands | TX | 9 | $719.00 | $251.65 | $98.00 | $397.58 | $611.15 |
| St Lukes Hospital At The Vintage | Houston | TX | 9 | $719.00 | $251.65 | $98.00 | $397.58 | $611.15 |
| Brazosport Regional Health System | Lake Jackson | TX | 2 | $719.00 | $251.65 | $356.82 | $397.16 | $480.34 |
| Limestone Medical Center | Groesbeck | TX | 8 | $774.90 | $464.94 | $165.34 | $377.66 | $619.92 |
| Chi St Lukes Health Baylor Med Ctr | Houston | TX | 10 | $719.00 | $251.65 | $99.00 | $368.83 | $611.15 |
| Mccamey County Hospital District | Mccamey | TX | 14 | $417.00 | $417.00 | $250.00 | $367.00 | $417.00 |
| Eastland Memorial Hospital | Eastland | TX | 3 | $485.00 | $243.00 | $301.00 | $347.00 | $437.00 |
| Shannon Medical Center | San Angelo | TX | 11 | $1,098.00 | $549.00 | $18.21 | $329.40 | $977.22 |
| River Crest Hospital | San Angelo | TX | 11 | $1,098.00 | $549.00 | $18.21 | $329.40 | $977.22 |
| San Angelo Community Medical Center | San Angelo | TX | 11 | $1,098.00 | $549.00 | $18.21 | $329.40 | $977.22 |
| Big Spring State Hospital | Big Springs | TX | 11 | $1,098.00 | $549.00 | $18.21 | $329.40 | $977.22 |
| Heritage Park Surgical Hospital | Sherman | TX | 1 | — | — | $315.07 | $315.07 | $315.07 |
| North Texas Medical Center | Gainsville | TX | 9 | $507.00 | $127.00 | $171.00 | $304.00 | $466.00 |
| Crane County Hospital District | Crane | TX | 2 | $439.00 | $307.00 | $268.00 | $272.00 | $395.00 |
| Wilson N Jones Regional Medical Ctr | Sherman | TX | 8 | $459.00 | $367.20 | $165.20 | $257.00 | $376.67 |
| Trinity Regional Hospital Sachse | Sachse | TX | 6 | $459.00 | $367.20 | $165.20 | $257.00 | $376.67 |
| Golden Plains Community Hospital | Borger | TX | 6 | $779.00 | $545.30 | $71.67 | $253.18 | $529.72 |
| Grimes St. Joseph Health Center | Navasota | TX | 3 | $293.00 | $102.55 | $173.00 | $249.05 | $293.00 |
| Burleson St. Joseph Health Center | Caldwell | TX | 5 | $293.00 | $102.55 | $175.80 | $249.05 | $293.00 |
| St. Joseph Regional Health Center | Bryan | TX | 3 | $293.00 | $102.55 | $173.00 | $249.05 | $293.00 |
| College Station Medical Center | College Station | TX | 3 | $293.00 | $102.55 | $173.00 | $249.05 | $293.00 |
| Muleshoe Area Medical Center | Muleshoe | TX | 4 | $305.00 | $183.00 | $119.00 | $244.00 | $305.00 |
| Falls Community Hospital And Clinic | Marlin | TX | 6 | $535.00 | $428.00 | $88.20 | $227.85 | $770.36 |
| Madison St. Joseph Health Center | Madisonville | TX | 6 | $293.00 | $102.55 | $173.00 | $218.29 | $293.00 |
| Hansford County Hospital District | Spearman | TX | 5 | $240.00 | $180.00 | $168.00 | $216.00 | $252.00 |
| Ascension Seton Bastrop | Bastrop | TX | 7 | — | — | $26.31 | $194.62 | $201.30 |
| Ascension Seton Shoal Creek | Austin | TX | 7 | — | — | $26.31 | $194.62 | $201.30 |
| Acuity Hospital Of South Texas | San Antonio | TX | 1 | — | — | $142.79 | $142.79 | $142.79 |
| Methodist Hospital For Surgery | Addison | TX | 32 | $735.00 | $441.00 | $123.94 | $138.66 | $319.08 |
| Clay County Memorial Hospital | Henrietta | TX | 5 | $403.00 | $282.00 | $80.00 | $100.50 | $129.00 |
| St Joseph Medical Center | Houston | TX | 0 | $1,826.62 | $1,826.62 | — | — | — |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.